Prolonged confusional state as first manifestation of COVID‐19

Prolonged confusional state as first manifestation of COVID‐19

Abstract A 77‐year‐old gentleman, normally fit and well, was admitted with acute confusion. On admission, Glasgow Coma Scale (GCS) was 14/15, vital signs were within the normal limits and bilateral crepitation at the lung base. Head CT scan was normal. CXR showed some air space opacification. Invest...

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Main Authors: Isabel Butt, Vijay Sawlani, Tarekegn Geberhiwot
Format: Article
Language:English
Published: Wiley 2020-08-01
Series:Annals of Clinical and Translational Neurology
Online Access:https://doi.org/10.1002/acn3.51067
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spelling doaj-878e2707a36b4707a0a7cc1519980b732021-05-02T18:08:27ZengWileyAnnals of Clinical and Translational Neurology2328-95032020-08-01781450145210.1002/acn3.51067Prolonged confusional state as first manifestation of COVID‐19Isabel Butt0Vijay Sawlani1Tarekegn Geberhiwot2Southampton Medical school 12 University Road SO17 1BJ Southampton UKDepartment of Radiology Queen Elizabeth Hospital University of Birmingham Edgbaston Birmingham B15 2TH UKInstitute of Metabolism and System Research Birmingham B15 2TH UKAbstract A 77‐year‐old gentleman, normally fit and well, was admitted with acute confusion. On admission, Glasgow Coma Scale (GCS) was 14/15, vital signs were within the normal limits and bilateral crepitation at the lung base. Head CT scan was normal. CXR showed some air space opacification. Investigations revealed hyponatraemia, raised CRP, and positive for COVID‐19. Treated with antibiotics and intravenous saline, sodium returned to normal. Delirium remained unchanged 4 weeks post‐incidence. Neurological manifestations were documented in patients with COVID‐19; however no report has shown delirium as a primary manifestation. This case illustrates acute confusion may be the only presenting symptom of COVID‐19 without overt lung disease.https://doi.org/10.1002/acn3.51067
collection DOAJ
language English
format Article
sources DOAJ
author Isabel Butt
Vijay Sawlani
Tarekegn Geberhiwot
spellingShingle Isabel Butt
Vijay Sawlani
Tarekegn Geberhiwot
Prolonged confusional state as first manifestation of COVID‐19
Annals of Clinical and Translational Neurology
author_facet Isabel Butt
Vijay Sawlani
Tarekegn Geberhiwot
author_sort Isabel Butt
title Prolonged confusional state as first manifestation of COVID‐19
title_short Prolonged confusional state as first manifestation of COVID‐19
title_full Prolonged confusional state as first manifestation of COVID‐19
title_fullStr Prolonged confusional state as first manifestation of COVID‐19
title_full_unstemmed Prolonged confusional state as first manifestation of COVID‐19
title_sort prolonged confusional state as first manifestation of covid‐19
publisher Wiley
series Annals of Clinical and Translational Neurology
issn 2328-9503
publishDate 2020-08-01
description Abstract A 77‐year‐old gentleman, normally fit and well, was admitted with acute confusion. On admission, Glasgow Coma Scale (GCS) was 14/15, vital signs were within the normal limits and bilateral crepitation at the lung base. Head CT scan was normal. CXR showed some air space opacification. Investigations revealed hyponatraemia, raised CRP, and positive for COVID‐19. Treated with antibiotics and intravenous saline, sodium returned to normal. Delirium remained unchanged 4 weeks post‐incidence. Neurological manifestations were documented in patients with COVID‐19; however no report has shown delirium as a primary manifestation. This case illustrates acute confusion may be the only presenting symptom of COVID‐19 without overt lung disease.
url https://doi.org/10.1002/acn3.51067
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